Individual
MR. STEPHEN BAKSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2780 E BARNETT RD STE 200, MEDFORD, OR 97504-8674
(541) 779-6250
Mailing address
2780 E BARNETT RD STE 200, MEDFORD, OR 97504-8674
(541) 779-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2573
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067873002
BLUE CROSS OF OREGON
OR
05
—
182074
—
OR
01
—
650017555
MEDICARE RAILROAD
OR
01
—
J284201
PACIFIC SOURCE INSURANCE
OR
Enumeration date
07/31/2005
Last updated
05/02/2025
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